Interest Survey

We are excited that your family is interested in the Mid-South Youth Orchestra. Please complete the secure interest survey below to indicate your interest in having one or more children participate this Fall. The form allows input for up to four children. Note: A valid email or mailing address must be provided to receive further information. This form may also be downloaded as a PDF file by clicking here.

Years Playing:

Years in an ensemble:

Years Private Lessons:

Age:

Click here to input additional children's information below.

I may be interested in periodic seminars or ongoing private or class instruction for my child(ren) in the following areas (check all that apply):
Private Lessons for...
Music Theory/Composition
Music History
Music Technology (Music Notation Software, MIDI, Recording and Mixing Techniques)
Like-Instrument Small Group Instructions

Note: You will be contacted when a seminar or class is scheduled with sufficient enrollment or with lesson information.

Check all times most likely to be available for rehearsal during the school year:

Monday
AM
PM
EVE

Tuesday
AM
PM
EVE 		Wednesday
AM
PM
EVE 		Thursday
AM
PM
EVE 		Friday
AM
PM
EVE 		Saturday
AM
PM
EVE

Additional Comments and Suggestions:

 

Input Additional Children's Information Here:

Years Playing:

Years in an ensemble:

Years Private Lessons:

Age:

Years Playing:

Years in an ensemble:

Years Private Lessons:

Age:

Years Playing:

Years in an ensemble:

Years Private Lessons:

Age:

If necessary, click here to complete the rest of the survey above.

• Mid-South Youth Orchestra • John Amagliani, Music Director • Phone: 901.626.6168 • Email: msyorch@gmail.com •